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Phlebotomy

The medical practice of drawing blood samples from patients, playing a crucial role in diagnostic testing, blood transfusions, and research.

venipuncture

blood

vein

needle

specimen

laboratory

draw

collection

hematology

medical

healthcare

phlebotomist

patient

safety

infection control

Can students wear artificial nails or acrylic overlays on nails?

  • no
  • yes

Which needle has the largest gauge?

  • 16
  • 21
  • 22
  • 23

Give at least 3 preferred vein attributes

  • Large enough

Reverse isolation is used for patients who have:

  • Whooping cough 百日咳
  • Immunodeficiency disorders
  • Hepatitis B
  • The flu

What is the most important step in preventing infections?

  • Using tissues
  • Handwashing
  • Wearing gloves
  • Isolation

Another name for a blood bank is Hematology.

  • True
  • False

Serum is depleted of fibrogen.

  • True
  • False

Which tube can be used to collect blood for a type and crossmatch?

  • ETS Gray top
  • Pink top EDTA
  • Royal Blue top
  • Serum seperator tube

The process by which the body maintains a state of equilibrium is:

  • Homeostasis
  • Anabolism
  • Hemostasis
  • Metabolism

Which element prevents glycolysis?

  • EDTA
  • Heparin
  • Sodium Fluoride
  • Potassium oxalate

What gauge multi-sample needle is considered to be standard?

  • 18
  • 20
  • 21
  • 23

Which tube contains sodium citrate?

  • Light-blue
  • Red
  • Green
  • Yellow

All blood samples should be handled using universal safety precautions.

  • True
  • False

Which is NOT a common symptom of shock?

  • Clammy skin
  • Weak pulse
  • Blinking eyes
  • Shallow breathing

The lavender tube contains

  • Na citrate
  • EDTA
  • SPS
  • Lithium heparin

What causes vacuum tubes to fill with blood?

  • Arterial blood pressure
  • Patient fist pumping
  • Tourniquet pressure
  • Tube vacuum

The following is a test of the respiratory system

  • ABGs
  • CSF
  • ETOH
  • UA

When are your supplies needed for the phlebotomy class?

  • Tuesday, Jan 12
  • Thursday, Jan 14

Which tube top will you use for Hematology Studies?

  • EDTA Lavender
  • K2 EDTA Pink
  • EDTA Royal Blue
  • SPS Yellow

If a student is tardy more than twice, will it be considered a absent?

  • yes
  • no

Which procedure is normally collected by a nurse or respiratory therapist?

  • Glucose Tolerance Test
  • Routine blood collection
  • Arterial Blood Gas
  • Capillary skin puncture

Identify the anticoagulant for:Light blue top tube

  • Citrate

If a patient experiences syncope during a venipuncture, he has:

  • Fainted
  • Vomited
  • Laughed
  • Convulsed

Can you have long fingernails while attending this class?

  • yes
  • shouldn't extend longer than the tip of the finger

What type of additive goes into Yellow Bacterial studies tube?

  • SPS

Another name for RBC's:

  • Thrombocytes
  • Erythrocytes
  • Leukocytes
  • Phagocytes

There is a 9 to 1 ratio nof blood to anticoagulant in a light blue tube.

  • True
  • False

A phlebotomist is:

  • A trained professional in blood drawing
  • The legal standards for a person who performs blood drawing skills
  • The process of drawing blood
  • All of the above

The OGTT test diagnoses ______________.

  • High blood pressure
  • Cholesterol
  • Diabetes
  • Hemoglobin

Identify the order of draw:I. PTTII. GlycohemoglobinIII. Serum CortisolIV. Blood culture

  • I, IV, II, III
  • I, II, III, IV
  • IV, I, III, II
  • IV, I, II, III

The Good Samaritan Law allows health care workers to provide medical care above and beyond their normal field without being sued.

  • True
  • False

How many points will be taken off of your late assignments when you turn in 2 days late?

  • 10 points
  • 20 points
  • 30 points
  • 15 points

What is the first link in the chain of infection?

  • Portal of exit
  • Susceptible host
  • Agent

Which of the following is the reason for cleansing the first drop of blood in a dermal puncture?

  • To rid the sample of arterial blood.
  • To rid the specimen of fluid from tissue.
  • To rid the specimen of potassium.
  • All of the above are correct.

Invert a gray tube __________ times.

  • 8
  • 5
  • 0
  • 4

Which answer has the correct order of draw?

  • Heparin, Blood Culture, multi purpose, Sodium Citrate
  • multi purpose, ACD, Oxalate, Blood Culture, Sodium Citrate, Serum
  • Blood Culture, Sodium Citrate, Serum, Heparin, EDTA, Oxalate, ACD, and multi purpose
  • Blood Culture, Sodium Citrate, oxalate, multipurpose, Serum EDTA

The endocardium is which layer of the heart.

  • Outer
  • Inner
  • Middle
  • Not defined

HIV test go into what type of Tube?

  • Green
  • Gray
  • Lt. Blue
  • Speckled red

The antiseptic of choice for routine phlebotomy is:

  • Tincture of iodine
  • 70% isopropyl alcohol
  • 70% methyl alcohol
  • Povidone iodine

The order of draw for venipuncture is: BC, blue, serum, green, EDTA, gray.

  • True
  • False

When a hematoma is forming, all of the following are acceptable except:

  • Adjust the needle depth
  • Remove the tourniquet
  • Ignore it and finish the collection
  • Remove the needle and apply pressure.

The additive in a pink tube is:

  • ADP
  • SPS
  • Heparin
  • EDTA

What happens if you mix the tubes vigorously?

  • Hemoconcentration
  • Coagulation
  • Hemolysis
  • Specimen won't separate.

Which layer of the heart is the epicardium?

  • Inner
  • Middle
  • Outer
  • Undefined

A patient who is known to have a transmissible blood disease is placed on:

  • Enteric isolation
  • Reverse isolation
  • Strict isolation
  • Blood and body fluid precautions

OSHA requires that health care professionals receive a vaccine for:

  • HAV
  • HBV
  • HCV
  • HPV

What special handling does a cold agglutinin test require?

  • Ice bath
  • Sitz bath
  • Pre-warmed tubes
  • Chilling

What are phlebotomy soft skills?

  • Focus, Patience, Communication, Steady hand, Calm tone

The pulmonic valve is situated between ____________________.

  • Upper and lower heart chambers
  • The right atrium and right ventricle
  • The right ventricle and pulmonary artery
  • None of the above

What is the additive present in the light green tube?

  • PSTs
  • Blood cultures
  • Heparin
  • EDTA

A red top tube is usualy drawn for which lab department?

  • Hematology
  • Blood bank
  • Chemistry
  • Serology

How many minutes does normal coagulation take in a red topped tube?

  • 5-10
  • 30-60
  • 15-20
  • 60-90

In the "Patients Bill of Rights," the patient has the right to:

  • Refuse treatment
  • Not participate in experimental procedures.
  • Know the name of the phlebotomist
  • All of the above

A yellow tube used as an alternate for blood cultures has the additive:

  • ACD
  • SPS
  • Clot activator
  • EDTA

Choose the TWO medical terms that are talking about "skin"

  • dermatitis
  • osteopathy
  • phlebotomy
  • epidermis

To disinfect a surface you can use boiling water or _______________.

  • Ammonia
  • Alcohol
  • Bleach
  • Betadine

Name the additive present in the light blue tube.

  • Coagulation
  • PSTs
  • SSTs
  • Oxalate/fluoride

A group of tests collected as one unit:

  • Group
  • Profile
  • STAT
  • Bunch

Blood culture tests can be done with a dermal puncture when venipuncture is not possible.

  • True
  • False

Invert a tiger top tube ___ times.

  • 8
  • 0
  • 5
  • 4

Which WBC carries histamine?

  • Monocytes
  • Basophils
  • Eosinophils
  • Neutrophils

Homeostasis is:

  • The ability of the body to return to normal conditions under stress
  • The ability of the body to clot whenever necessary
  • When a person has had an adequate sleep and has not eaten in 12 hours
  • The ability of the body to recognize an invading organism

The term that means the rupturing of red blood cells is:

  • Hemostasis
  • Hemoglobin
  • Hemolysis
  • Hematoma

A green tube contains the additive:

  • ACD
  • Na fluoride
  • Thrombin
  • Na heparin

Glass particle in serum seperator tubes

  • Deter coagulation
  • Enhance clotting
  • Inhibit glycolysis
  • Prevent hemolysis

What additives can you find in Royal Blue Tubes? Select all that apply

  • EDTA
  • Heparin
  • ACD
  • None

A conscious hospital patient does not have an armband. The name and number on the door agree with the requisition. What should the phlebotomist do?

  • Ask the patient for verbal verification of his name.
  • Do not draw the patient until an armband has been applied.
  • Draw the patient and take the specimen to the lab
  • Draw the patient and then ask the nurse to identify the patient

To check for trace elements a phebotomist would use a ______ tube.

  • Light blue
  • Royal blue
  • Tiger top
  • Yello

A PBT is using a povidone Iodine swab for a capillary refill specimen. What should the PBT expect in the results

  • Increased potassium
  • Decreased Potassium
  • Increased Glucose
  • Decreases Glucose

Glycolysis occurs faster in newborns.

  • True
  • False

Aspirin may affect a patient's:

  • HCG
  • CBC
  • Bleeding time
  • Heparin time

When someone is in shock you should keep them cool.

  • True
  • False

Lavender tubes must be 2/3 full.

  • True
  • False

The most common source of carry over problems is EDTA.

  • True
  • False

Whats the normal salary for a phlebotomist

  • $10k-$20k
  • $50k-$62k
  • $30k-$45k
  • $21k-$27k

Which would be considered a pre-analytical error?

  • Improper time of collection
  • Wrong order of draw
  • Faulty technique
  • Exposure to light

Blood cultures are used to diagnose ________________.

  • Diabetes
  • FUO
  • FAQ
  • PT

Name six elements of the chain of infection.

  • Infectious agent, Reservoir, Exit pathway, Means of transmission, Entry pathway, Susceptible host

When a pathogen surrounds and engulfs, the process is called:

  • Microcytosis
  • Agranulocyte
  • Phagocytosis
  • Macrocytosis

When performing bleeding time, the blood pressure cuff should be inflated to:

  • 40mm Hg
  • 20mm Hg
  • 80mm Hg
  • 60mm Hg

Which of the following blood vessels is listed in the proper order of blood flow?

  • Aorta, superior vena cave, vein
  • Arteriole, venule, capillary
  • Capillary, venule, vein
  • Remove impurities from the blood.

Lymph originates from

  • Joint fluid
  • Plasma
  • Serum
  • Tissue fluid

Lavender-top tubes are used to collect _______________.

  • Hematology tests
  • Chemistry tests
  • Immunology tests
  • None of the above

What tube is used for a WCB differential?

  • Lavender
  • Red
  • Green
  • Blue

Microorganism cultures are collected in _____________tubes.

  • Light-blue
  • Royal blue
  • Green
  • Yellow

Universal donors are blood types:

  • O
  • A
  • AB
  • B

Where is blood collected, stored and prepared for transfusions?

  • Hematology
  • Blood Bank
  • Chemistry
  • Immunology

Accumulation of fluid in the tissues.

  • Lipids
  • Edema
  • Fistula
  • Trauma

Which would be considered a post-analytical error?

  • Improper site preparation
  • Medication interferance
  • Failure to invert tubes
  • Improper use of serum separator

Hemostasis is

  • The ability of the body to return to normal conditions under bleeding
  • The ability of the blood to clot whenever necessary
  • When a person has had an adequate sleep and has not eaten in 12 hours
  • The ability of the body to recognize an invading organism

The mitral valve in the heart is also called the:

  • Pulmonary valve
  • Bicuspid valve
  • Aortic valve
  • Tricuspid valve

What percentage of formed elements are erythrocytes?

  • 60%
  • 55%
  • 90%
  • 10%

What is another name for winged infusion sets?

  • Caterpillar
  • Dragonfly
  • Butterfly
  • Beetlebug

The normal composition of blood is approximate:

  • 10% plasma, 90% formed elements
  • 55% plasma, 45% formed elements
  • 90% plasma, 10% formed elements
  • 45% plasma, 55% formed elements

A pad is used to correct the patient's clothing.

  • Flux
  • Chux
  • Tourniquet
  • Antiseptic

Hemostasis is defined as _______________.

  • Steady-state
  • Stoppage of food
  • Basil state
  • Stoppage of blood

The medical term for a fast heart rate is

  • tachycardia
  • bradycardia

Failing to provide reasonable standards of care causing someone to suffer an injury is know as ____________.

  • Trauma
  • Negligence
  • Tort
  • Battery

Choose the TWO medical terms talking about "bones"

  • anaemia
  • osteopathy
  • osteoporosis
  • leukaemia

In which organ is insulin produced?

  • Liver
  • Pancreas
  • Gall bladder
  • Kidney

Capillary puncture reference ranges are higher for this analyte.

  • Calcium
  • Glucose
  • Phosphorus
  • Protein

Which vein in the antecubital fossa is usually easiest to palpate in an obese patient?

  • Median cubital
  • Cephalic
  • Basilic
  • Ulnar

A PBT is performing a capillary refill collection for a CBC, FSH, and Electrolyte tests. Which of the following is proper collection order?

  • Lavender Microcollection, Green Microcolleciton, red microcolleciton
  • Lavender Microcollection, red Microcolleciton, green microcolleciton
  • red Microcollection, LavenderMicrocolleciton, greenmicrocolleciton
  • red Microcollection, greenMicrocolleciton, Lavendermicrocolleciton

Where do blood cells originate?

  • Heart
  • Lungs
  • Bone marrow
  • Capillaries

The following test orders for different patients have been received at the same time. Which test would you collect first?

  • Fasting glucose
  • ASAP CBC in ICU
  • STAT hemoglobin in ICU
  • STAT glucose in the ER

-------- is a low concentration of red blood cells.

  • Anemia

This organization develops standards for specimen handling and processing

  • CDC
  • CLIA
  • CLSI
  • FDA

Veins have thinner walls than arteries.

  • True
  • False

Which of the following veins in the arm are most subjected to venipuncture?

  • Basilic
  • Median Cubital
  • Brachial
  • Cephalic

Fluoride, EDTA, and oxalate are additives used in what tube?

  • Light green tube
  • Yellow tube
  • Light blue tube
  • Gray tube

A gray tube contains the additive:

  • Na citrate
  • Na heparin
  • Clot activator
  • Na fluoride

A zone of comfort is an example of proxemics.

  • True
  • False

If a patient refuses treatment you should

  • Restrain him
  • Call 911
  • Tell your supervisor
  • Tell them it is their life

Physiology is;

  • The structure of the human body
  • The function of the human body
  • Homeostasis
  • Hemostasis

A drug known to interfere with urine tests should be discontinued 48-72 hours prior to the test.

  • True
  • False

The proper way to dispose of a needle is to:

  • Recap it and place it into a sharp container
  • Throw it recapped into a bio-hazard bag
  • Put it into a sharps container without recapping immediately after withdrawal from a patient.
  • Collect it in a cup and dispose of it later

A clean catch test is collected in a:

  • Red tube
  • Royal blue tube
  • Sterile cup
  • Yellow tube

A urine C & S is ordered to detect

  • Abnormal urine ph
  • Glucose overload
  • Kidney damage
  • Presence of UTI

Where is the most common location for a skin puncture

  • Arm
  • Feet
  • Neck
  • Wrist

What is the additive present in the red tube?

  • Heparin
  • EDTA
  • Blood cultures
  • None of the above

What kind of blood do arteries and arterioles carry?

  • Deoxygenated
  • Oxygenated
  • Both
  • None of the above

The component of a cell that is water is called:

  • DNA
  • Cytoplasm
  • Nucleus
  • Membrane

The needle should be inserted into the arm with the bevel facing.

  • Down
  • Make no difference
  • To either side
  • Up

The aorta is:

  • The major vein
  • The major artery
  • A peripheral artery
  • A systemic vein

Which tube is drawn last in a standard venipuncture procedure?

  • Blood culture tube
  • Lavender
  • Light-blue
  • Red

What does the phlebotomist look for when identifying a newborn?

  • The first and last name on the ID band
  • The hospital identification number and the last name
  • The date of birth
  • The mother's ID bracelet

The chamber of the heart that receives blood from the systemic circulation

  • Right atrium
  • Left atrium
  • Right ventricle
  • Left ventricle

Which tube does not contain EDTA?

  • Lavender tube tops
  • Pink plastic top tubes with special blood bank patient ID label
  • Pearl top tubes with thixotropic gel separator
  • Mottled green and gray topped tubes

How many inversions should be performed after collecting for SST tubes and plastic red top tubes?

  • 0
  • 3
  • 5
  • 8

Arteries have valves that prevent the blood from flowing back.

  • True
  • False

Veins that are hard and cord-like are called:

  • Thrombosed
  • Sclerosed
  • Collapsed
  • Tortuous

What part of the infant is a PKU test performed on?

  • Toe
  • Finger
  • Heel
  • Forehead

Sodium Citrate is the additive in which tube?

  • Red
  • Gray
  • Light blue
  • Green

Which test must be performed on whole blood?

  • BUN
  • CBC
  • CPK
  • PTT

POC testing is done _____________.

  • At the patient's bed
  • In a medical lab
  • By a respiratory therapist only
  • With a larger needle

Re-centrifugation of SST tubes results to a falsely increased level of LDH due to what process?

  • Clot activation
  • Clot retraction
  • Hemolysis
  • Fibrin formation

What is the additive present in the lavender tube?

  • EDTA
  • Coagulation
  • SSTs
  • None of the above

Touching someone without permission is called____________.

  • Invasion of privacy
  • Battery
  • Sneaky
  • Sexual harrassment

Lipid Profile Test goes in what tube?

  • Green
  • Red
  • Lavender
  • Orange

Identify the anticoagulant for:Green top tube

  • Heparin

A Pt/INR goes into what type of tube?

  • Red
  • Orange
  • Lt. Blue
  • Royal Blue

Blood types are determined by the presence or absence of which of the following on RBCs.

  • Antigens
  • Antibodies
  • Chemicals
  • Hormones

Which tube is used for Glucose and Alcohol (ethanol) testing?

  • Gray

Misidentifying a patient specimen is the most critical error a phlebotomist can make.

  • True
  • False

Patient identification is an opportunity to correctly identify the patient and to put the patient at ease with the procedure.

  • True
  • False

Which of the following should a phlebotomist not do when drawing blood from a child?

  • Use the patient identification process.
  • Explain the procedure
  • Tell the child that the procedure will not hurt.
  • During the draw, tell the child "just a few more second."

The first tube in the order of draw for cap specimens is lavender.

  • True
  • False

Sclerosed veins feel ______________.

  • Spongy
  • Cordlike
  • Movable
  • Square

Which is used for PT and PTT?

  • Red top
  • Green top
  • Light blue top
  • Gray top

A pink tube contains the additive.

  • EDTA
  • Clot activator
  • ACD
  • Nothing

When a tourniquet is left on too tight, capillaries may rupture, causing.

  • Rash
  • Pain
  • Uticaria
  • Petechiae

Which collection tube must be filled 100% or it will be rejected by the lab?

  • Green Top Heparin
  • Yellow with SPD
  • Lt. Blue with sodium citrate
  • Red Serum no additive

Fluid aspirated from the peritoneal cavity.

  • Ascites
  • Gastric
  • Sputum
  • Synovial

The exchange of oxygen and carbon dioxide occurs in:

  • The capillaries
  • The alveoli
  • The bronchioles
  • All of the above

For blood donation your donor has to have a Hematocrit HCT% higher than what?

  • 38%

At what intervals should blood be blotted during a bleeding time test?

  • 15 seconds
  • 20 seconds
  • 30 seconds
  • 35 seconds

After drawing a blood specimen, it is acceptable to pour part of the sample into another tube only if they are the same colored tubes (ex: lavender tube into another lavender tube).

  • True
  • False

What is the preferred site for venipuncture?

  • Thrombotic vein
  • Antecubital fossa
  • Elbow
  • Ulnar vein

Lavender, Yellow and Green tubes should all be inverted 8 times each.

  • True
  • False

The internal space of a blood vessel

  • Atrium
  • Lumen
  • Septum
  • Valve

What should be done after the procedure?

  • Ask the patient to wrap their arm up
  • Cover the puncture site with bandage
  • Throw it away
  • Give it to the doctor

The proper way to insert a needle is with the bevel facing ____________.

  • Up
  • Down
  • Left
  • Right

How many days can I miss before making up time for phlebotomy class?

  • 5
  • none
  • 2
  • 3

Capillary puncture blood most closely resembles ____________.

  • Arterial blood
  • Venous blood

Name the three types of blood vessels.

  • Arteries, Vein, Capillaries

Which of the following conditions/ practices can prevent NSI?I. Using needles with safety shieldII. Discouraging needle recappingIII. Disposing exposed needles and unwrapped glass shards into approved sharps containersIV. Wearing disposable non-latex gloves

  • I only
  • I and II
  • I, II, and III
  • I, II, III, and IV

Which fluid is obtained by lumbar puncture.

  • Peritoneal
  • Pleural
  • Cerebrospinal
  • Synovial

The most critical aspect of blood culture collection is

  • Amount of specimen
  • Skin antisepsis
  • Specimen handling
  • The needle gauge

Which of the following is the best definition of destruction of red blood cells?

  • Hemolysis
  • Hemostasis
  • Homeostasis
  • Hemoglobin

True or FalseShould phlebotomy wear gloves and lab coat?

  • True
  • False

What is the name of health care worker trained in collecting and testing blood specimens?

  • Radiologist
  • Veterinary
  • Phlebotomist
  • Cardiologist

The purpose of the Allen test is to:

  • Check for collateral circulation through the ulnar artery.
  • Check for a pulse in the brachial artery.
  • Check for a pulse in the radial artery.
  • Verify that you are in an artery and not a vein

Which tube is used for a sickle cell screen?

  • Red
  • Blue
  • Lavender
  • Green

Name the three major veins for venipuncture.

  • Median cubital vein, Cephalic vein, Basilic vein

Name types of infection

  • bacteria, fungus, virus, protozoon, rickettsia

Which of the following specimens are least likely to require special handling?

  • Bilirubin and Folate
  • Cholesterol and Uric Acid
  • Gastrin and Lactic Acid
  • Homocystine and renin

Blood cultures are collected in a ___________ tube.

  • Red
  • Yellow
  • Blue
  • Green

The following were collected for a routine venipuncture. Which item is incorrect?

  • Tubes
  • Iodine swab
  • Touniquet
  • Safety needles

Name the four chambers of the heart.

  • Right atrium, Left atrium, Right ventricle, Left ventricle

Taking aspirin is most likely going to effect a BT test.

  • True
  • False

The maximum recommended depth for a heel stick is 3.0mm or less.

  • True
  • False

Phlebotomy is:

  • A trained professional in blood drawing
  • The legal standards for a person who performs blood drawing skills
  • The process of drawing blood
  • All of the above

Which of the following should never be the same on any two patients?

  • Patient ID
  • First Name
  • Last Name
  • Date of Birth

Cortisol peaks late in the afternoon.

  • True
  • False

-------- is a collection of blood from a vein

  • Cover the puncture
  • Skin puncture
  • Venipuncture
  • Patience

Name the three parts of the circulatory system.

  • Heart, Blood, blood vessels

The test used to evaluate intrinsic pathway is called ____________.

  • PT
  • APTT
  • LMN
  • PX

Which represents the proper order of blood flow?

  • From arteries to veins to capillaries
  • From arterioles to capillaries to venules
  • From capillaries to arterioles to arteries
  • From veins to venules to capillaries

How many inches above the site should the tourniquet be tied?

  • 2-3
  • 3-4
  • 4-5
  • 1-2

Chose TWO reasons why it is important for a doctor to ask about medical history

  • it is important to know about your allergies
  • the doctor can tell everyone about your medical history
  • it can help them diagnose your medical problem
  • you can become friends with the doctor

All patients are presumed to be infectious for ___________.

  • Blood borne pathogens
  • TB
  • Flu
  • Common cold

Which lab sectioin would analyze the C&S test?

  • Hematology
  • Immunology
  • Microbiology
  • Serology

If a student must quarantine, are daily attendance and assignments still required?

  • yes
  • maybe
  • no

A green top tube usually contains

  • EDTA
  • Citrate
  • Heparin
  • Oxalate

The proper order for doning PPE

  • Gloves, gown, mask
  • Gown, gloves, mask
  • Gown, mask, gloves
  • Mask, gown, gloves

What practice can result to the most dangerous pre-analytical error?

  • Improper mixing of blood with additive
  • Tourniquet application for 5 minutes
  • Use of pre-labeled tubes
  • Incorrect transportation conditions

Which test requires a 24 hour urine specimen?

  • Creatnine Clearance
  • Culture and Sensitivity
  • Fibrin Split
  • Glucose tolerance test

A PBT is preparing to preform a venipuncture test for coagulations, WBC, pregnancy, and random glucose. Which of the following tubes would they use?

  • SPS, ACD, Sodium Citrate
  • Sodium Heparin, EDTA, SST
  • SPS, ACD, Sodium heparin
  • Sodium citrate, SST, EDTA

Another name for thrombocytes is______________.

  • White blood cells
  • Red blood cells
  • Platelets
  • Monocytes

Microorganisms that cause diseases

  • Hereditary
  • Normal flora
  • Nonpathogens
  • Pathogenic

In the order of draw for capillary specimens, should you draw tubes with or without additives first?

  • Without
  • With

Which should not be done during vein selection?

  • Lowering the patient's arm
  • Patient pumping fist
  • Palpating the antecubital
  • Placing a warm towel on the arm.

Which order of draw is correct?

  • Yellow, red, blue
  • Blue, gray, lavender
  • Red, green, lavender
  • Red, green, yellow

What is the function of a leukocyte?

  • Carry oxygen to cells
  • Protect from infection
  • Ais in clot formation
  • None of the above

Repeated venipuncture in the same vein can cause:

  • Thrombus
  • Phlebitis
  • Hemolysis
  • Petechiae

What is the diameter of the largest needle?

  • 18 gauge
  • 26 gauge
  • 20 gauge
  • 23 gauge

What is the first course of action to follow if a patient begins to have a seizure?

  • Remove the tourniquet and the needle.
  • Notify the physician
  • Call for help
  • Insert a tongue depressor into the patient mouth

A light blue tube contains the additive:

  • Na citrate
  • Na heparin
  • SPS
  • EDTA

Choose TWO facts that need to go on medical reports

  • eye colour
  • medical history
  • how many brothers you have
  • allergies

If I find out I am positive for COVID, who do I contact?

  • My teacher
  • mom
  • teacher and my campus nurse
  • the nurse

The liquid portion of the blood is:

  • Serum
  • Hemoglobin
  • The sediment
  • Plasma

Red Or Serum tubes are used for Serology Test. What type of test could that include?

  • Chemistry,Electrolytes,LiverCBC

Permanent surgical connection between an artery and a vein.

  • Fistula
  • Fasting
  • Suture
  • Edema

Among the following anticoagulants, which one is the least soluble?

  • Sodium Citrate
  • Sodium Heparin
  • Sodium Fluoride
  • Potassium EDTA

A 'pulmonologist' is a doctor who works with

  • hearts
  • lungs
  • feet
  • blood

The breakdown and removal of a clot in the hemostasis process is ______________.

  • Coagulation
  • Fibrinolysis
  • Vascular
  • Aggregation

Which of the following techniques should be followed in performing all skin punctures?

  • Wipe the site with alcohol to increase the flow of blood
  • Apply a constant, repetitive pressure to increase blood flow
  • Use povidone-iodine to cleanse the skin surface.
  • Wipe away the first drop of blood

The ability of the body to achieve "steady state."

  • Anabolism
  • Catabolism
  • Hemostasis
  • Homeostasis

What is the additive present in the gray tube?

  • PPTs
  • Coagulation
  • Blood cultures
  • Oxalate/fluoride

Which is a test of the urinary system?

  • Cholinesterase
  • Creatine kinase
  • Creatinine clearance
  • Pleuracentesis

An SST tube contains the additive:

  • Thrombin
  • EDTA
  • Clot activator
  • Na heparin

A CBC goes in which tube?

  • Lavender
  • Red
  • Pink
  • Green

What tube does a testosterone test go into?

  • Red
  • Green
  • Gray
  • Lt. Blue

When labeling tubes, the following information must be placed on them except:

  • Patient's name
  • Date
  • Time of draw
  • Patient's diagnosis
  • Phlebotomist's initials

The number one vein of choice for venipuncture in the antecubital fossa is:

  • Basilic
  • Cephalic
  • Median cubital
  • Brachial

Which of the following is not needed for a routine phlebotomy procedure?

  • Gloves
  • Tourniquet
  • Alcohol
  • Iodine

Ammonia Chemical Test would be done with a _______ tube.

  • Red
  • Yellow
  • Blue
  • Green

If you are visiting a phlebotomist, this doctor is going to examine your...

  • eyes
  • blood
  • skin
  • veins

Which tube would be used for an electrolyte panel?

  • Lavender
  • Light blue
  • SST
  • Green

The left ventricle delivers oxygenated blood to the aorta.

  • True
  • False

If the needle passes completely through the vein, you must pull it out of the arm and try another vein.

  • True
  • False

The master gland is:

  • Thymus
  • Thyroid
  • Pituitary
  • Thalamus

Identify the anticoagulant for:Pink top tube

  • EDTA

Which tube top is used for STAT serum and how long should it clot?

  • orange, 5 min

What is the preferred antiseptic for venipuncture?

  • Betadine
  • Iodine
  • Isopropyl alcohol
  • Jack Daniels

The patient has hypoglycaemia. What does that mean?

  • There is too much sugar in the blood
  • The patient's breathing rate is very low
  • There is too little sugar in the blood
  • The patient has low blood pressure

Which of the following is an example of proxemics?

  • Eye contact
  • Facial expression
  • Personal hygiene
  • Zone of comfort

What percent of your six weeks grade are tests and projects?

  • 10%
  • 45%
  • 25%
  • 50%

When a patient has a highly contagious disease, he or she is placed in:

  • Enteric isolation
  • Reverse isolation
  • Strict isolation
  • Blood and body fluid precautions

The most important step in a routine venipuncture.

  • Gathering equipment
  • Palpate veins
  • Identify patient
  • Tying the tourniquet

How many times should a light-blue tube be inverted?

  • 2-3
  • 8-10
  • 5
  • 3-4

Which is not a reason for failure to collect blood?

  • Tube lost vacuum
  • Bevel of the needle against the vein side
  • Needle not fully in the vein
  • Patient drank too much liquid

Which additive is usually in a lavender tube?

  • Citrate
  • EDTA
  • Heparin
  • Oxalate

Which blood vessel is NOT part of systemic circulation?

  • Brachial artery
  • Cephalic vein
  • Pulmonary artery
  • Vena cava

The first phase of hemostasis is _________________.

  • Platelet phase
  • Vascular stage
  • Fibrinolysis
  • Coagulation stage

Contact, droplet and airborne are ____________.

  • Modes of transmission
  • Portals of exit
  • Portals of entry
  • Agents

Which tube would you use to measure lactic acid?

  • Red
  • Gray
  • Blue
  • Tiger top

Which of the following is an accessory organ of the digestive system?

  • Heart
  • Lung
  • Liver
  • Ovary

The hormone detected in a positive pregnancy test is

  • ACTH
  • GH
  • HCG
  • TSH

In a routine blolod draw the red tube is drawn before the green tube.

  • True
  • False

Why do we need to wait for the SST sample to completely clot before doing centrifugation?

  • To prevent hemolysis
  • To prevent appearance of fibrin strands on the serum
  • To prevent release of intracellular analytes into the serum
  • Both B and C

Name the two divisions of the laboratory.

  • Clinical analysis, Anatomical and surgical pathology

What special handling does an ABG require?

  • Warming
  • Chilling
  • Shaking
  • Pre-warmed tubes

Sputum is collected to diagnose

  • Diptheria
  • H. pylori
  • Meningitis
  • Tuberculosis

Which blood vessels carry blood that is high in oxygen?

  • Veins
  • Arteries
  • Venules
  • Vena Cava

What is the normal lifespan of an RBC?

  • 9-12 days
  • 120 days
  • 365 days
  • 45 days

The smallest blood vessel in the body where gas exchange takes place is a (an)

  • Capillary
  • Venule
  • Arteriole
  • Vein

When a patient has high blood pressure, it is called ______tension

  • hyper

Which of the following would require the phlebotomist to use a HEPA respirator or N95 mask?

  • TB
  • Aids
  • HBV
  • Encephalitis

The primary function of a red blood cell is:

  • Fight infections
  • Carry iron
  • Carry iodine
  • Carry hemoglobin

A specimen may be rejected by the lab if:

  • The tube was not initialed.
  • The blood is hemolyzed.
  • The tube was not transported properly.
  • All of the above

The slanted tip of the needle that enters the vein is called the lumen.

  • True
  • False

Leaving the tourniquet on too long may cause ________________.

  • Hemolysis
  • Hemoconcentration
  • Septicemia
  • Thromosis

Medical Asepsis is the destruction of pathogens outside the body.

  • True
  • False

Tubes may lose their vacuum due to ______________________.

  • Manufacturing defects
  • Expired tube
  • A fine crack in the tube
  • All of the above

The single most important means of preventing the spread of infection are:

  • Hand washing before and after contact with each patient
  • Identifying the disease being isolated
  • Wearing gloves when drawing infection patient
  • Wearing a mask into an isolation room

To measure the diurnal variation of cortisol hormone, what kind of specimen would be required?

  • Timed
  • Fasting
  • Therapeutic
  • Blood culture

Veins are located deeper than arteries.

  • True
  • False

The most commonly occurring complication in phlebotomy is:

  • Convulsions
  • Short draw
  • Hypovolemia
  • Hematoma

What is a Hematology study?

  • Blood Alcohol Level
  • DNA
  • Anaerobic bacteria
  • CBC

A light blue tube must be filled at least 90% full to ensure a quality specimen.

  • True
  • False

How many hours before a blood test should a patient discontinue the use of medications known to interfere with blood tests?

  • 1-4
  • 4-24
  • 24-36
  • 48-72

Breakage of red blood cells is called:

  • Hemolytic
  • Hemolysis
  • Hemoconcentration
  • Hemostasis

In a routine venipuncture the lavender tube should be drawn before the red tube.

  • True
  • False

What is the expected test result if tourniquet application was applied for more than 1 minute?

  • Falsely increased Sodium levels
  • Falsely decrease Sodium Levels
  • Both A and B
  • None of the above

Sodium Fluoride preserves glucose for how many days?

  • 1
  • 2
  • 3
  • 4

Sodium citrate is present in a lavender top tube.

  • True
  • False

An infection is:

  • A disease-causing microorganism
  • The invasion and growth of a pathogen
  • Always caused by bacteria.
  • Never caused by a virus.

What organ would a doctor be intested in if he ordered an ALP, AST, ALT, GTT and bilirubin?

  • Heart
  • Liver
  • Kidney
  • Spleen

A patient in the Oncology Dept. is probably being treated for _______________.

  • Diabetes
  • Pregnancy
  • Phlebitis
  • Cancer

What is the additive present in the green tube?

  • PPTs
  • Oxalate/fluoride
  • EDTA
  • Heparin

Which is not true off WBCs?

  • They are a defense mechanism
  • They are formed in bone marrow and lymph tissues
  • They are all the same size and shape
  • They are also called leukocytes

If an infant is screaming during a CBC test the

  • Platelets may clump
  • Specimen may be hemoconcentrated
  • Specimen is more likely to hemolyze
  • WBC may be elevated

20%-40% of WBC are comprised of _______________.

  • Lymphocytes
  • Neutrophils
  • Basophils
  • Eosinophils

When performing a routine venipuncture, what is the normal angle of insertion between the needle and the skin?

  • 5 degrees
  • 15 degrees
  • 45 degrees
  • 60 degrees

How many times can you retake a test or skill evaluation?

  • 3
  • 2
  • none
  • 1

Crooked or winding veins are also called ___________________.

  • Bad
  • Tortuous
  • Thrombotic
  • Sclerosed

Bilirubin and Cold Agglutin Test should be drawn using what tubes? Select all that apply

  • Serum
  • Red
  • Lavender
  • Green

When collecting a Blood culture with a butterfly into culture bottles, which is filled first?

  • Aerobic
  • Anaerobic

If you fail to draw blood, you should do all the following except:

  • Drawback on the needle without coming out of the vein and redirect
  • Use your index finger to help locate the vein.
  • Massage the arm above the needle
  • Try another tube

When the body has adequate rest and no food for 12 hours it is said to be in the___________state.

  • Steady
  • Basal
  • Homestasis
  • Hemostasis

The name given to an infection that a patient acquires after admission to a healthcare facility is:

  • Communicable
  • Reportable
  • Nosocomial
  • Antibiotic-Resistant

Name the three layers of the heart.

  • Endocardium, Myocardium, Epicardium

Anatomy is

  • The structure of the human body
  • The function of the human body
  • Homeostasis
  • None of the above

Which is NOT a reason the tourniquet is used?

  • To prevent veinous flow of blood
  • To make veins bulge
  • To make veins blue
  • To aid in vein location

Which among the following is considered an inappropriate site for phlebotomy?

  • Part of the basilic vein
  • Swollen arms caused by fluid trapped in the tissues
  • Veins that are not well anchored and are prone to movement during needle insertion
  • Arms with small veins

Sodium Citrate have what color stoppers?

  • Light blue
  • Red
  • Lavender
  • Green

If you need to make up work, how many days do I have?

  • assignments are on google classroom
  • 1 + 1 rule including weekends
  • as long as I need
  • I will ask the teacher

What is Phlebotomy

  • The process of collecting blood
  • Collects blood from a baby
  • Collects blood from animals
  • A person who draws their own blood

Whole blood collection for DNA analysis can go into which tubes? Select all that apply

  • Green (Heparin)
  • Yellow (ACD)
  • Yellow (SPS)
  • Gray (Oxalate)

The heart disorder characterized by fluid buildup in the lungs

  • Aortic stenosis
  • Bacterial endocarditis
  • Congestive heart failure
  • Myocardial infarction

What is the recommended depth of a heel puncture on an infant?

  • 2.0mm
  • 1.2mm
  • 3.0mm
  • .02mm

Which test may require a chain of custody?

  • Blood Culture
  • Crossmatch
  • Drug Screen
  • TDM

What is the lifespan of a mature RBC?

  • 120 days
  • 100 days
  • 10 days
  • 15-20 days

Name the two therapeutic types of phlebotomy.

  • Polycythemia, Hemochromatosis

What is the size (in inches) of the needle routinely used for venipuncture?

  • 1-1.5
  • 2-3
  • 2.5-3
  • 2-2.58

What time is a student considered tardy?

  • 9:35
  • 9:25

What is the additive present in the yellow sterile tube?

  • PSTs
  • Heparin
  • Blood cultures
  • None of the above

Postprandial means ______________.

  • After eating
  • After sleeping
  • After blood testing
  • After midnight

The first drop of blood in a capillary puncture is the best for analysis.

  • True
  • False

Which of the following conditions does emergency first aid treatment maintaining an open airway, control bleeding, and keeping the pt. warm until help arrives?

  • syncope
  • convulsions
  • vomiting
  • shock

Which is the best tube for collecting an ethanol specimen?

  • EDTA
  • Heparin
  • Sodium citrate
  • Sodium fluoride

An open wound can be a portal of entry in an infection chain.

  • True
  • False

Which of the following is a safe area for infant heel puncture?

  • The area of the arch
  • The central area
  • The medial plantar surface
  • The posterior curvature

The most critical step in phlebotomy is:

  • Cleansing the site
  • Patient identification
  • Proper needle length
  • Using the correct tube

An NP culture swab is collected to help diagnose

  • Genetic defects
  • Encephalitis
  • Whooping cough
  • Strep throat

Thrombophlebitis is:

  • A synonym for emboli
  • Blood clot in the heart
  • Inflammation of a vein with a clot
  • Inflammation of the thyroid gland

How many times should a red top tube be inverted?

  • 2
  • 5
  • 0
  • 8

The prefix "ab-" means

  • away from, or off
  • between
  • on top
  • too low

Tubes containing additives should be inverted.

  • 3-4 times
  • 4-5 times
  • 5-10 times
  • Not be inverted

Name the additive that prevents glycolysis.

  • Tourniquet
  • Sodium fluoride
  • Potassium oxalate
  • EDTA

Tiny red spots on the skin caused by the rupturing of capillaries are called _____________.

  • Phlebitis
  • Trauma
  • Petechiae
  • Pimples

Which body plane divides the body in equal portions?

  • Frontal
  • Sagittal
  • Midsagittal
  • Transverse

Which additive does a red tube contain?

  • Na fluoride
  • Nothing
  • EDTA
  • Na heparin

Which laboratory section performs blood pregnancy tests?

  • Chemistry
  • Hematology
  • Serology
  • Blood bank

A WBC Deferential Goes into what tube?

  • Red with an Aliquot
  • Lavender with a smear
  • Green with a chain of custody

An example of a nosocomial infection is

  • Catheter site of ICU patient becomes infected
  • Healthcare worker contracts HBV from a needlestick
  • Patient is admitted with chicken pox
  • Patient breaks out with measles one day after admission

In therapeutic blood monitoring, the trough levels are tested ______________.

  • 30 minutes before the scheduled dose
  • 30 minutes after the scheduled dose
  • 2 hours postprandial
  • 2 hours diurnal

A CBC would be sent to what lab section?

  • Chemistry
  • Hemotology
  • Microbiology
  • Serology

Which tube is sometimes called a serum separator tube?

  • Red
  • Red/gray
  • Light blue
  • Green

Latex sensitivity is an allergic reaction.

  • True
  • False

The most common complication of phlebotomy.

  • Petechiae
  • Phlebitis
  • Hemoconcentration
  • Hematoma

Name the five modes of infection transmission.

  • Airborne, Contact, Droplet, Vector, Vehicle

According to CLSI which tube is filled last when using a syringe?

  • EDTA
  • Heparin
  • Citrate
  • Sterile SPS

Which is not a PPE?

  • Mask
  • Goggles
  • Room dividers
  • Glocves

Factors to consider in site selection prior to a venipuncture are:

  • Scars or burns
  • Edema
  • Mastectomy
  • All of the above

Always recap your needle before putting it into the sharps container.

  • True
  • False

Which among the following is NOT an anticoagulant?

  • Citrate
  • Fluoride
  • Oxalate
  • EDTA

Identify the anticoagulant for:Gray top tube

  • Oxalate

A person should sustain from eating for how many hours prior to a fasting blood test.

  • 8
  • 6
  • 12
  • 4

Another term used to describe a red blood cell is:

  • Leukocyte
  • Thrombocyte
  • Erythrocyte
  • Lymphocyte

The relaxing phase of the cardiac cycle is:bradycardia

  • Bradycardia
  • Systole
  • Diastole
  • Infarction

The glucose tolerance test is used to help in the diagnosis of:

  • Blood gas
  • Diabetes
  • Hepatitis
  • Cancer

Bacteria and parasites belong to which type of hazard?

  • Biologic
  • Chemical
  • Physical
  • Allergic

When serum is _________ it is a clue that the patient is not fasting.

  • Hemoconcentrated
  • Hemolyzed
  • Jaundiced
  • Lipemic

What are the 3 components of a urinalysis?

  • Physical, chemical, microscopic exams
  • Gravity, clarity and color exams
  • Blood, protein and glucose exams
  • Hear, see and taste exam

What is the medial term for phlebotomy?

  • [No Answer]

Light blue tubes must be ____ full.

  • 2/3
  • Completely
  • 3/4
  • 1/2

What requirements are required for me to take the certification for Phlebotomy?

  • pass with 80% each 6 weeks and 30 successful venipunctures and 10 successful finger sticks

Fibrinogen is found in:

  • Serum
  • Plasma
  • Both serum and plasma
  • None of the above

Vigorous mixing can activate platelet and shorten clotting times.

  • True
  • False

Which of the following is the smallest needle?

  • 18 gauge
  • 19 gauge
  • 20 gauge
  • 21 gauge

Using a butterfly may be necessary if the vein collapses with the evacuated tube system.

  • True
  • False

The first tube collected with a butterfly will underfill due to air in the line.

  • True
  • False

What tube is used for ESR?

  • Red
  • Lavender
  • Green
  • Yellow

Collecting urine by aspiration through the bladder wall

  • Suprapubic
  • Catheter
  • Pediatric
  • Amnio

Lipemic bloodserum appears:

  • Bluish
  • Milky
  • Purple
  • Thick

Which test is NOT a light-sensitive test?

  • Bilirubin
  • Beta-carotene
  • Porphyrins
  • Ammonia

Which tube is used for PTT?

  • Light blue
  • Green
  • Red
  • Gray

Another name for blood in the urine:

  • Hematuria
  • Bacteriuria
  • PKU
  • Proteinuria

What is the best way to get in contact with your teacher outside of class time?

  • send email
  • send message on Remind
  • send a note with a friend
  • drive to New Tech

What personal protective equipment should be worn for each procedure?

  • Mask
  • Hat booties
  • Goggles
  • Gloves

Improper cleansing of a venipuncture site can cause:

  • Hematoma
  • Septicemia
  • Petechiae
  • All of the above are correct.

Direct contact transmission is defined as ___________.

  • Blood to blood
  • Body fluid to blood
  • Skin to skin
  • Skin to object

If someone is cyanotic their skin may appear ____________.

  • Flushed
  • Clammy
  • Bluish
  • Yellow/orange

Test for this dept. are usually collected in a light blue tube.

  • Chemistry
  • Coagulation
  • Hematology
  • Microbiology

What is present in a gold top tube but not in a plastic red top tube?

  • Gel separator

The O & P test is requested on what type of specimen?

  • SCF
  • Fecal matter
  • Ovary & Placenta
  • Amniotic fluid

When you explain the venipuncture procedure to the patient and they agree to the test it is called _______.

  • Getting the blood
  • Informed consent
  • Constant talking
  • HIPAA

Oxygen-poor blood enters the heart througfh the right atrium.

  • True
  • False
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